BRANDAN HELLER P.T.
NPI 1811987480
Physical Therapist - Orthopedic in Thornville, OH

NPI Status: Active since October 25, 2005

Contact Information

8745 BLACKBIRD LN
THORNVILLE, OH
ZIP 43076
Phone: (740) 246-5483

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Insurance Plans Accepted
Medicare Participation & PECOS Status
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Years of Experience 27
Physical Therapist
Orthopedic
Accepts Medicare Approved Payment

About BRANDAN HELLER

This page provides the complete NPI Profile along with additional information for Brandan Heller, a provider established in Thornville, Ohio with a medical specialization in Physical Therapist, focusing in orthopedic and more than 27 years of experience. The healthcare provider is registered in the NPI registry with number 1811987480 assigned on October 2005. The practitioner's primary taxonomy code is 2251X0800X with license number 8924 (OH). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI: 1811987480
Provider Name: BRANDAN HELLER P.T.
Gender: Male
Entity Type: Individual
Location Address: 8745 BLACKBIRD LN THORNVILLE, OH 43076
Location Phone: (740) 246-5483
Mailing Address: 8745 BLACKBIRD LN THORNVILLE, OH 43076
Mailing Phone: (740) 246-5483
Medical School Name: OTHER
Graduation Year: 1999
Is Sole Proprietor?: Yes
Enumeration Date: 10-25-2005
Last Update Date: 07-08-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Physical Therapist Orthopedic
Taxonomy Code: 2251X0800X
Type: Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.: 8924
License State: OH
Taxonomy Description: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
HE4132731	MEDICARE ID-TYPE UNSPECIFIED (04)	OH
Q16313	MEDICARE UPIN (02)	OH

Medicare Participation & PECOS Enrollment Status

Brandan Heller is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

PECOS PAC ID: 4587640958
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.
PECOS Enrollment ID: I20040625001150
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.
Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	8	1	1	9	8	7	4	8	0
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	8	2	1	18	8	14	4	16
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 2 + 1 + 1 + 8 + 8 + 1 + 4 + 4 + 1 + 6 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
									0

The NPI number 1811987480 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.